Forced spirometry reference values for Norwegian adults: the Bronchial Obstruction in Nord-Trondelag study

Forced spirometry reference values for Norwegian adults: the Bronchial Obstruction in Nord-Trondelag study
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DOI:
10.1183/09031936.01.00255301
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发表时间:
2001-11-01
影响因子:
24.3
通讯作者:
Bjermer, L
Bjermer, L
中科院分区:
医学1区
文献类型:
--
作者:
Langhammer, A;Johnsen, R;Bjermer, L

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本研究的目的是为挪威无症状、从不吸烟的成年人的流量/容量肺量计参数开发新的预测方程,并评估应用新的和最常用的方程组时这些参数的任何差异。从Nord-Trondelag健康研究的参与者中随机选择。排除了本问卷中报告的长期吸烟者和呼吸道症状和/或疾病受试者。共有546名女性和362名男性符合纳入标准并被纳入分析。大多数肺功能变量与年龄呈非线性关系,必须进行转换。在年轻人中经历了一个平台期后,这些变量随着年龄的增长而下降。从本研究中的用力呼气量在一秒钟和用力肺活量的参考值,高于欧洲共同体的煤钢预测方程给出的,但在更密切的协议与后来的研究从欧洲,澳大利亚和美国。应鼓励医疗服务提供者重新考虑他们的选择预测方程的肺功能测定,以改善阻塞性肺疾病的管理。
The purpose of this study was to develop new prediction equations for flow/volume spirometry parameters in asymptomatic, never-smoking adults in Norway and to assess any differences of these parameters when applying the new and most commonly used equation sets.Flow/volume spirometry was measured according to the American Thoracic Society criteria in 2,792 subjects aged greater than or equal to 20 yrs, randomly selected from participants in the Nord-Trondelag Health Study. Ever-smokers and subjects with respiratory symptoms and/or diseases reported in this questionnaire were excluded. A total of 546 females and 362 males met the inclusion criteria and were included in the analyses.Most lung function variables were nonlinear by age and had to be transformed. After a plateau in younger adults, the variables declined by age. The reference values for forced expiratory volume in one second and forced vital capacity from the present study, were higher than those given by prediction equations from the European Community for Coal and Steel, but in closer agreement with later studies from Europe, Australia and the USA.Healthcare providers should be encouraged to reconsider their choice of prediction equations of spirometry in order to improve management of obstructive lung diseases.